Inspection · 2024-08-13

Based on a review of the provider?s records, the provider did not ensure background check updates shall be completed every five years.

Evidence:
The central registry search that was in the record was completed on 10/9/2018 and expired on 10/9/2023.

Based on a review of household member records, the provider did not ensure that all required background checks were completed for Household Members.

Evidence:
1. A sworn disclosure statement was not obtained for Household Member #1.
2. A central registry was not obtained for Household Member #1.
3. Provider verified that Household Member #1 was currently residing in the home.

Based on a review of children?s records, the provider failed to obtain documentation of a physical examination prior to child?s attendance or within 30 days after the first day of attendance.

Evidence:
Results of physical examination for child #4 (enrolled 2/1/2023) was not available in records.

Based on a review of provider records, the provider did not ensure that their certification in cardiopulmonary resuscitation (CPR) was current.

Evidence:
CPR certification card in the record expired on 03/10/2024.

Based on a review of provider records, the provider did not ensure that their first aid certification was current.

Evidence:
The first aid certification card in the record expired on 03/10/2024.

Based on a review of household member records, the provider did not ensure that all household members prior to coming in contact with a child, obtain a current report of Tuberculosis screening, documenting the absence of tuberculosis in a communicable form.

Evidence:
1.A TB test/screening was not obtained for Household Member #1.
2. Provider verified that Household Member #1 was currently residing in the home.

Based on observations, the provider did not ensure that areas and furnishings of the family day home, inside and outside, shall be maintained in a clean, safe, and operable condition.

Evidence:
1. There were two metal rusting chairs were on the outside playground area against a tree; there was rust on a table where the wading pools and water toys are stored; and there was rusting workout equipment and a broken metal trailer that was within access to the playground area and accessible to children.
2. The railing on the deck was splintering. The children have access to the railing as it leads down to the backyard play area.
3. Loose nails and broken floorboards were identified on steps used on backyard deck.

Based on observations, the provider did not ensure that potentially poisonous substances were stored in areas inaccessible to children.

Evidence:

1. Lysol, Febreze and a disinfectant spray were observed within children?s reach on a shelf near the toys in the play area.
2. Each substance, contained a warning label with the statement ? Keep out of reach of children?.

Based on observations, the provider did not ensure that equipment used by children were maintained in accordance with the manufacturer?s instructions and that equipment shall be clean, nontoxic and free from hazards such as lead paint, sharp edges or points, loose parts, and rust.

Evidence:
1. Splitting and splintering wood was observed on several areas on the wooden treehouse in backyard.

2. A picnic table in the play area in the backyard had a cracked tabletop.

3. Several toys were observed unclean and with broken pieces in the play area in the backyard: three ride on car toys had broken headlights and a broken seat; play kitchen set had broken compartment drawers; a toy wagon, two fire fighter play trucks, and a stuffed animal were unclean with dirt and discoloration.

Based on observations, the provider did not ensure Cribs, cots, rest mats, and beds when being used for sleeping or napping by children other than infants shall have linens consisting of a top cover and a bottom cover or a one-piece covering that is open on three edges

Evidence:
During nap time, four children were laid on cots without a bottom cover.

Based on observations, the provider failed to ensure that caregiver did not exceed 16 points by using the point system.

Evidence:
1. On 08/18/2024 there were six children present, (between the ages of 1 and 4 years of age), with one caregiver. The total number of points for the six children was 17 points.
2. Provider confirmed the total points on 08/13/2024 was 17 points.

Based on a review of children?s records, the provider did not maintain an up-to-date record for each enrolled child.

Evidence:
Child # 3 did not have a record completed and available on site for viewing.

Based on a review of children?s records, the provider failed to obtain all required information.

Evidence:
1. Written authorization to administer prescription or nonprescription medication to a child was not in Child #2 record. Medication was identified onsite for Child #2.

2. The record of child #1 (enrollment date: 7/10/2024) did not have documentation of written permission to be taken off the premises of the family day home from the child?s parent. Provider stated that transportation is used.

3.The record of child #4 (enrollment date :2/1/2023) did not have documentation of written permission to be taken off the premises of the family day home from the child?s parent. Provider stated that transportation is used.

4.The record of child #5 (enrollment date: 3/21/2023) did not have documentation of written permission to be taken off the premises of the family day home from the child?s parent. Provider stated that transportation is used

5. The record of child #6 (enrollment date: 8/21/2023) did not have documentation of written permission to be taken off the premises of the family day home from the child?s parent. Provider stated that transportation is used.

6. The record of child #7 (enrollment date: 11/14/23) did not have documentation of written permission to be taken off the premises of the family day home from the child?s parent. Provider stated that transportation is used

Based on observations, medication was not kept in a locked place using a safe locking method that prevent access by children.

Evidence:
1. An over-the-counter medication was on kitchen counter, it was labeled with the name of Child # 2. Medication was lying on top of the first aid kit, not stored in a locked place.